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1407584204
DIVINE MIND THERAPEUTICS LLC
RICHMOND, VA
NPI
1407584204
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Entity Type
Organization
Authorized Contact
SHANNON JOHNSON
COO
202-766-4216
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-10
Last Update Date
2022-08-10
Business Address
DIVINE MIND THERAPEUTICS LLC
1806 SUMMIT AVE SET 300 PMB 2034
RICHMOND, VA 23230
Phone number: 571-249-2519
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Mailing Address
DIVINE MIND THERAPEUTICS LLC
2901 CONNECTICUT AVE NW APT B2
WASHINGTON, DC 20008-1451
Phone number: 202-766-4216
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